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Comparative Analysis of Temperature-Responsive Hydrogel (PF 72) for Postoperative Pain After Bimaxillary Surgery: A Retro-spective Study

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  • Craniofacial/Maxillofacial
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Abstract

Bimaxillary surgery is a painful invasive procedure in plastic surgery. Pain control is typically achieved using intravenous analgesics. We aimed to investigate the efficacy of a novel temperature-responsive hydrogel, PF72, mixed with ropivacaine, as a local pain management solution when applied directly to the surgical site following orthognathic surgery. The study was conducted from October 2022 to July 2023 and included a cohort of 40 candidates for orthognathic surgery, encompassing LeFort I maxillary ostectomy and sagittal split ramus osteotomy. The participants were divided into an Injection group (n = 20), where PF72 was administered at the surgical site before the orthognathic surgery, and a Control group (n = 20), which relied solely on intravenous analgesics. Pain was evaluated at 3, 6, 24, 48, and 72 h after surgery using a numerical rating scale (NRS). The mean NRS scores at 24 h were 6.35 and 4 for the Control and Injection groups, respectively. The mean NRS scores at 72 h were 3.4 and 2.55 for the Control and Injection groups, respectively. Patients who received PF72 experienced less pain than those who received intravenous analgesics. These findings underscore the potential of PF72 as an effective alternative for enhancing pain management in patients undergoing orthognathic surgery.

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References

  1. Kaba YN, Demirbas AE, Kütük N, Canpolat DG, Alkan A (2023) Does preventive single dose of intravenous dexketoprofen reduce pain and swelling after orthognathic surgery? A prospective, randomized, double blind clinical trial. Med Oral Patol Oral Cir Bucal 28:e199-207

    Article  PubMed  PubMed Central  Google Scholar 

  2. Phillips C, Blakey G III (2008) Short-term recovery after orthognathic surgery: a medical daily diary approach. Int J Oral Maxillofac Surg 37:892–896

    Article  PubMed  PubMed Central  Google Scholar 

  3. Soffin EM, Lee BH, Kumar KK, Wu CL (2019) The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. Br J Anaesth 122:e198-208

    Article  PubMed  Google Scholar 

  4. Glare P, Aubrey KR, Myles PS (2019) Transition from acute to chronic pain after surgery. Lancet 393:1537–1546

    Article  PubMed  Google Scholar 

  5. Gupta A, Chowdhury R, Haring RS, Leinbach LI, Petrone J, Spitzer MJ, Schneider EB (2017) Length of stay and cost in patients undergoing orthognathic surgery: Does surgeon volume matter? J Oral Maxillofac Surg 75:1948–1957

    Article  PubMed  Google Scholar 

  6. Kono R, Oono Y, Takagi S, Uth XJ, Petersen KK, Arendt-Nielsen L, Kohase H (2023) Preoperatively assessed offset analgesia predicts acute postoperative pain following orthognathic surgery. Scand J Pain 23:720–728

    Article  PubMed  Google Scholar 

  7. Cherobin ACFP, Tavares GT (2020) Safety of local anesthetics. An Bras Dermatol 95:82–90

    Article  PubMed  Google Scholar 

  8. Oh KS, Hwang C, Lee HY, Song JS, Park HJ, Lee CK, Song I, Lim TH (2019) Preclinical studies of ropivacaine extended-release from a temperature responsive hydrogel for prolonged relief of pain at the surgical wound. Int J Pharm 558:225–230

    Article  CAS  PubMed  Google Scholar 

  9. Wennberg P, Möller M, Sarenmalm EK, Herlitz J (2020) Evaluation of the intensity and management of pain before arrival in hospital among patients with suspected hip fractures. Int Emerg Nurs 49:100825

    Article  PubMed  Google Scholar 

  10. Neal CE, Kiyak HA (1991) Patient perceptions of pain, paresthesia, and swelling after orthognathic surgery. Int J Adult Orthodon Orthognath Surg 6:169–181

    CAS  PubMed  Google Scholar 

  11. Niederhagen B, Braumann B, Dierke-Dzierzon C, Albrecht S (1997) Postoperative pain after interventions in the area of the mouth–jaw–face. Mund Kiefer Gesichtschir 1:229–234

    Article  CAS  PubMed  Google Scholar 

  12. Mobini A, Mehra P, Chigurupati R (2018) Postoperative pain and opioid analgesic requirements after orthognathic surgery. J Oral Maxillofac Surg 76:2285–2295

    Article  PubMed  Google Scholar 

  13. Bergamaschi IP, Cavalcante RC, Fanderuff M, Gerber JT, Petinati MFP, Sebastiani AM, da Costa DJ, Scariot R (2021) Orthognathic surgery in class II patients: a longitudinal study on quality of life, TMD, and psychological aspects. Clin Oral Investig 25:3801–3808

    Article  PubMed  Google Scholar 

  14. Tuzuner AM, Ucok C, Kucukyavuz Z, Alkis N, Alanoglu Z (2007) Preoperative diclofenac sodium and tramadol for pain relief after bimaxillary osteotomy. J Oral Maxillofac Surg 65:2453–2458

    Article  PubMed  Google Scholar 

  15. Nagatsuka C, Ichinohe T, Kaneko Y (2000) Preemptive effects of a combination of preoperative diclofenac, butorphanol, and lidocaine on postoperative pain management following orthognathic surgery. Anesth Prog 47:119–124

    CAS  PubMed  PubMed Central  Google Scholar 

  16. Ahiskalioglu A, İnce İ, Aksoy M, Yalcin E, Ahiskalioglu EO, Kilinc A (2016) Effects of a single-dose of pre-emptive pregabalin on postoperative pain and opioid consumption after double-jaw surgery: a randomized controlled trial. J Oral Maxillofac Surg 74:53.e1–7

    Article  PubMed  Google Scholar 

  17. Samieirad S, Sharifian-Attar A, Eshghpour M, Mianbandi V, Shadkam E, Hosseini-Abrishami M, Hashemipour MS (2018) Comparison of ondansetron versus clonidine efficacy for prevention of postoperative pain, nausea and vomiting after orthognathic surgeries: a triple blind randomized controlled trial. Med Oral Patol Oral Cir Bucal 23:e767–e776

    CAS  PubMed  PubMed Central  Google Scholar 

  18. Chen YA, Rivera-Serrano CM, Chen C, Chen YR (2016) Pre-surgical regional blocks in orthognathic surgery: prospective study evaluating their influence on the intraoperative use of anaesthetics and blood pressure control. Int J Oral Maxillofac Surg 45:783–786

    Article  CAS  PubMed  Google Scholar 

  19. Koeppe T, Constantinescu MA, Schneider J, Gubisch W (2005) Current trends in local anesthesia in cosmetic plastic surgery of the head and neck: results of a German national survey and observations on the use of ropivacaine. Plast Reconstr Surg 115:1723–1730

    Article  CAS  PubMed  Google Scholar 

  20. Vijay BS, Mitra S, Jamil SN (2013) Refractory cardiac arrest due to inadvertent intravenous injection of 0.25% bupivacaine used for local infiltration anesthesia. Anesth Essays Res 7:130–132

    Article  PubMed  PubMed Central  Google Scholar 

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Funding

This research was supported by the Hallym University Research Fund 2022 (HURF-2022-46) and Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Science, Information and Communications Technologies (No. 2021R1F1A1062758; Kim SH).

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Correspondence to Seong Hwan Kim.

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This study was conducted in accordance with the Declaration of Helsinki and was approved by the Institutional Review Board of the Hallym National University Hospital Ethic Committee (2023-09-013).

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Yun, C.W., Kim, K.H., Lee, W. et al. Comparative Analysis of Temperature-Responsive Hydrogel (PF 72) for Postoperative Pain After Bimaxillary Surgery: A Retro-spective Study. Aesth Plast Surg 48, 1271–1275 (2024). https://doi.org/10.1007/s00266-023-03846-6

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